NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC
NPI 1831079573
Otolaryngology - Plastic Surgery within the Head & Neck in Greenville, SC

Active since September 04, 2025
701 CONGAREE RD, GREENVILLE, SC 29607(864) 248-4130(864) 248-4131 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2026, Sep 18, 2025, Sep 4, 2025 (3 updates tracked since 2025).

About Novant Health Greenville Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC (NPI 1831079573), doing business as Novant Health Head & Neck Reconstructive Surgery - Congaree, is a healthcare organization registered as a plastic surgery within the head & neck in Greenville, South Carolina and active in the NPI registry since September 2025. The organization lists Leea Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1831079573
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameNOVANT HEALTH GREENVILLE MEDICAL GROUP, LLC
Location Address701 CONGAREE RDGreenville, SC 29607-3519
Mailing AddressPo Box 604348Charlotte, NC 28260-4348
Fax(864) 248-4131
Organization SubpartNo
Authorized OfficialLeea WaltonRcs Manager · (336) 515-7085
Enumeration DateSeptember 4, 2025
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1831079573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
701 CONGAREE RD, Greenville, SC 29607

Other Names 1

Doing Business AsNovant Health Head & Neck Reconstructive Surgery - Congaree

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Greenville Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Novant Health Greenville Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Otolaryngology
NPI 1124074851
701 CONGAREE RD
Greenville, SC 29607
(864) 248-4130
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1598718934
701 CONGAREE RD
Greenville, SC 29607
(864) 248-4100
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1184670994
701 CONGAREE RD
Greenville, SC 29607
(864) 248-4100
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1740201805
851 LEONARD FULGHUM BLVD SUITE 101
Mt Pleasant, SC 29464
(843) 971-9350
✔ PECOS✔ Accepts Medicare200 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Health Greenville Medical Group, LLC's NPI number?

The NPI number for Novant Health Greenville Medical Group, LLC is 1831079573. It was assigned to this organization in the NPPES registry on September 4, 2025. The provider is doing business as Novant Health Head & Neck Reconstructive Surgery - Congaree.

Where is Novant Health Greenville Medical Group, LLC located?

Novant Health Greenville Medical Group, LLC is located at 701 Congaree Rd, Greenville, SC 29607. The listed phone number is (864) 248-4130.

What is Novant Health Greenville Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Novant Health Greenville Medical Group, LLC enrolled in Medicare?

Yes. Novant Health Greenville Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Greenville Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Novant Health Greenville Medical Group, LLC, in Orthopedic Surgery, Otolaryngology and Sports Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Novant Health Greenville Medical Group, LLC accept?

Health plans from BlueCross BlueShield of South Carolina and Cigna Healthcare list Novant Health Greenville Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Health Greenville Medical Group, LLC was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.